Active NPI
Edgardo Manuel Ortiz, PHARM D
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Ponce, PR
National Provider Identifier
1831130491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 4568
- Practice address
- 1010 Paseo del Veterano
Ponce, PR 00716 - Phone
- (787) 641-7581
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 4568 | PR | Primary |
Addresses
Primary practice location
1010 Paseo del Veterano
Ponce, PR 00716
Mailing address
13 Calle Padre Victor
Salinas, PR 00751-3278
Phone (939) 489-7544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4568 | PR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1831130491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 CALLE PADRE VICTOR",
"city": "SALINAS",
"state": "PR",
"postal_code": "007513278",
"telephone_number": "939-489-7544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 PASEO DEL VETERANO",
"city": "PONCE",
"state": "PR",
"postal_code": "00716",
"telephone_number": "787-641-7581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "EDGARDO",
"middle_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "PR",
"license": "4568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.